Application for funds for active conference participation abroad for academic staff

Requirements:

Currently employed by Vetmeduni Vienna

Before habilitation

If applicable, no longer than 9 years after graduation (doctoral degree)

Vetmeduni Vienna must be visibly identified as the home university

Personal information:

Last name: Click and enter data	Title:

First name: Click and enter data

Date of birth:
Date format dd.mm.yyyy

Gender: female male

Nationality: Click and enter data

Email-address: Click and enter data@vetmeduni.ac.at

Information on the employment status:

Department / Organisational unit: Click and enter data

Phone number at the Vetmeduni Vienna:

Status:
If status is „Other“, please specify:

Date of the graduation (doctoral degree) (if applicable):
Date format dd.mm.yyyy

Have You received funding for active conference participation abroad by the IRO in the current calendar year:

Yes No

Information on the conference participation:

Name of the conference: Click and enter data

Venue (city / country): Click and enter data

Sojourn: from	until	n days
Date format dd.mm.yyyy	Date format dd.mm.yyyy

Title of the conference contribution: Click and enter data

Type of the contribution: oral presentation (invited) oral presentation (other)

poster presentation other presentation

Research field: 106 Biology 403 Veterinary Medicine 603 Philosophy, Ethics

Date and signature:

Date:
Applicant’s signature

Endorsement of the superior:

Recommended: yes no

Superior’s signature

Please, hand in the completed form with the application documents at the IRO / Dr. Ursula Schober.

Will be filled in by IRO:

Short description / Summary of the conference contribution: available

Official acceptance of conference contribution: available

Copy of the granted leave of absence (Freistellung): available

Copy of the doctoral certificate (Promotionsurkunde): available

Specification of costs: available

Decision about funding through VRFI:

Yes, the maximum amount of € 400,00 (depending on clearance) for a minimum of 4 days

Yes, additional € 100,00 for one additional day (networking, workshop)

Yes, additional € 200,00 for two additional days (networking, workshop)

No, requirements are not met

No, because there are no funds left in the current year.

Date:	VRFI’s signature